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UTILITIE CITY.OF EVERETT <br /> 2 S <br /> E <br /> ElVED PERMIT SERVICES <br /> PERMI <br /> ;ciAY 1; " :201? 3200_CEDAR STREET : <br /> EVERETT WA 98201" <br /> -; v 3 -7` • arn>llY SERVICES : ;(425)=257 8810 <br /> PERMIT NUMBER ,.. U170) 082 ` DATE <br /> JOB ADDRESS 440131ST AVE SE: LEGAL DESCRIPTION a <br /> • DESCRIPTION: 3/4"-METER ONLY NEW SEWER CONNECTION,SYSTEM DI APN. ,/ <br /> OWNER" 'POLYGON WLH LLC TENANT O , y'/yyy/( <br /> 11624 SE 5TH Si SUITE 100 - CONTRACTOR POLYGON WLH LLC, <br /> BELLEVUE WA 98005' 11.624_SE 5TH ST SUITE 100 <br /> PHONE 4255867700 , <br /> BELLEVUE WA' :` 98005 <br /> r ; <br /> PHONE 4255867700 <br /> I,.," WATER SERVICE' <br /> SERVICE SIZE SERVICE TYPE FRONTAGE "` -. :'NO OF UNITS SERVICE ORDERNO.. -APPLICATION NO: ` <br /> 3/4" DOM/FI. 0.00 : S0-13957 APP-18946 <br /> SETTER INSTALLATION /DATE :y.1 - <br /> METERNO./5 7'C'! I) 'I, Q.:. SIZE'. f <br /> #1 BACKFLOW DEVICE'SERIAL NO. <br /> tr - #2 BACKFLOW DEVICE SERIAL NO <br /> BRAND / �' MODEL NO : <br /> •METER ISTALIILATION DATE r '-J ""J7 BY 94 - <br /> WATER ON OFF_ LACKED OUT BY TSG - - <br /> REMARKS " 3%4"METER"ONLY <br /> , _ _ - SEWER s <br /> PERMIT NO SP-1,7221 PERMIT TYPE NEW CONNECTION .I.LID NO -) ` <br /> REMARKS; Please Note.The City is responsible for structural defects in the side sewer on theCity ROW"side per EMC 14.08.260- <br /> NEW CONNECTION <br /> INSPECTED BY DATE <br /> L FEES <br /> SEWER UTILITY FEE ' $70:00 �@ <br /> SYSTEM DEVELOPMENT FEES RESII $10,947.002 <br /> ii) <br /> WATER UTILITY FEE. $480:00 <br /> CITY OF EVERETT <br /> TOTAL FEES $11,497.00`, Permit Serv,CeS <br /> . 01e___ L w -k& PERMIT NUMBER 111703-082 <br /> UTILITY SERVICES COPY <br />